I definitely know I want to complete the family nurse practitioner part of the program. I believe that outpatient clinic and urgent care is a speciality that has long term need, job stability, security as well as gives me the opportunity to work the underserved populations.
As for the ACAGNP part of the program, I am hesitant because I have not worked with acute care nurse practitioners all that much. Through my ICU/CCU RN career, I have seen acute care NP's round the hospital as diabetic specialists. In this capacity, they would manage and follow up on the DKA/HHS patient's or insulin sliding scales. The hospitalist's deferred the diabetes "stuff" to these np's. From what they told me, they said they would work outpatient clinic and round on their hospital patients. (They recommended getting one's FNP certification then going back for a post-grad ACAGNP certification.)
I also would see an acute care NP, round with the cardio-thoracic, CABG team patients. She basically did the open or closed part of the venous graft harvesting. She would also do daily rounds on the CABG patient, learn about i's and o's, and night shift problems, occasionally take call on those night shift patient's.
I suppose that my reluctance stems from me not wanting to be part of a surgical team. I do not want her job, she was always stressed out and looking to have all the information and details so she wasn't getting grilled from the surgeons. The diabetes nurse's seemed happy, all of those patient's are straight forward and the np is a consultant.
What other roles are out there for the ACAGNP? Based on where I have worked I haven't seen many in emergency services. Surely, they are capable of working there alongside ED physicians. How is their career/speciality satisfaction? Should I transition from ICU to ED per diem and gain more exposure down their?
Do ACAGNP also work alongside the hospitalist/internist team?
Even if I did get the dual FNP/ACAGNP, would I have to do a critical care residency or a pulmonary/intensivist certification so that I could work in pulmonary care or round on ICU patient's?
Either way I will continue with this DUAL speciality program and I am so excited for the journey!